Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HOLY NAME MEDICAL CENTER

Teaneck, NJ · CCN 310008 · Rates published

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You selected 93350 (HCPCS)

STRESS ECHO

This hospital’s price: $1,231 across 21 payers · range $262-$2,005

Source: https://www.holyname.org/HospitalCharges/resources/221487322_holy-name_standardcharges.csv · observed 2025-11-10

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

70,995 distinct procedures filed
25 distinct payers
1,335,442 rate rows
2026-05-28 last MRF observed
Data quality

977,040 of 1,335,442 rate rows are consumer-grade (73.2%)

358,402 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 283,149
placeholder amount (≤ $0.02) — excluded from medians 68,354
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,976
percent-of-charges filed in the dollar field — excluded from medians 1,443
per-diem day rate — not a per-procedure price 1,284
exceeds 10× this hospital's gross charge — excluded from medians 718
template filing: same amount across many unrelated codes — excluded 446
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 23
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.holyname.org/HospitalCharges/resources/2022-CDM-Pricing.csv
Found on page https://www.holyname.org/HospitalCharges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 869f7886ac28f1ca… · 1,961,960 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,639,685.99 $4,639,685.99 $4,639,685.99 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,932,206.74 $4,412,809.79 $4,369,118.60 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,905,992.03 $4,383,391.06 $4,339,991.15 nat. median
$3,703,693
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,523,693.81 $3,954,367.50 $3,915,215.34 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,456,690.60 $3,879,175.00 $3,840,767.33 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $3,127,415.10 $3,509,654.72 $3,474,905.66 nat. median
$2,994,107
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,598,982.61 $2,916,636.04 $2,887,758.46 nat. median
$2,466,282
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,471,672.81 $2,773,766.15 $2,746,303.12 nat. median
$2,401,960
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $816,775.51 $916,603.63 $907,528.35 nat. median
$809,217
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $529,192.86 $687,880.42 $681,069.72 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $527,123.43 $658,209.03 $651,692.11 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,726.08 $644,241.28 $637,862.65 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $526,587.59 $643,794.99 $637,420.78 nat. median
$622,245
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,455.96 $634,060.68 $627,782.85 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $460,530.40 $582,490.89 $576,723.66 nat. median
$591,650
1.0× median
5834
APR_DRG 		Neonate W Ecmo 4 $420,600.47 $441,630.49 $437,424.48 nat. median
$307,273
1.4× median
5833
APR_DRG 		Neonate W Ecmo 4 $366,288.87 $384,603.31 $380,940.42 nat. median
$244,017
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $297,064.84 $561,122.47 $330,072.04 nat. median
$359,358
0.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $313,713.72 $329,399.41 $326,262.27 nat. median
$247,214
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $286,568.84 $321,593.92 $318,409.82 nat. median
$319,951
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $289,356.32 $303,824.14 $300,930.58 nat. median
$202,993
1.5× median
24
APR_DRG 		Heart &/or Lung Transplant 4 $280,323.16 $294,339.32 $291,536.08 nat. median
$241,915
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $221,966.15 $539,786.01 $264,375.11 nat. median
$249,124
1.1× median
5832
APR_DRG 		Neonate W Ecmo 4 $229,855.09 $241,347.84 $239,049.29 nat. median
$159,249
1.5× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $219,264.93 $230,228.18 $228,035.53 nat. median
$120,517
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $217,751.51 $228,639.09 $226,461.58 nat. median
$124,042
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $186,987.75 $359,267.68 $222,680.89 nat. median
$198,433
1.1× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $213,230.73 $223,892.27 $221,759.96 nat. median
$154,011
1.4× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $207,820.52 $218,211.55 $216,133.35 nat. median
$156,153
1.4× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $206,231.98 $216,543.58 $214,481.26 nat. median
$151,838
1.4× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $204,174.52 $214,383.25 $212,341.51 nat. median
$162,514
1.3× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $201,207.10 $211,267.46 $209,255.39 nat. median
$175,429
1.2× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $200,580.65 $210,609.68 $208,603.88 nat. median
$133,164
1.6× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $198,286.91 $208,201.26 $206,218.39 nat. median
$165,000
1.2× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $195,856.31 $205,649.13 $203,690.57 nat. median
$145,061
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $168,959.98 $373,833.27 $201,191.78 nat. median
$190,557
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $186,775.86 $196,114.65 $194,246.90 nat. median
$163,587
1.2× median
5831
APR_DRG 		Neonate W Ecmo 4 $186,139.74 $195,446.73 $193,585.33 nat. median
$146,591
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $183,321.36 $192,487.43 $190,654.21 nat. median
$122,016
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $181,482.04 $190,556.14 $188,741.32 nat. median
$170,172
1.1× median
23
APR_DRG 		Heart &/or Lung Transplant 4 $177,417.99 $186,288.89 $184,514.71 nat. median
$111,046
1.7× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 4 $175,939.74 $184,736.73 $182,977.33 nat. median
$136,728
1.3× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $175,837.93 $184,629.83 $182,871.45 nat. median
$84,808
outlier · 2.2×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $167,247.07 $175,609.42 $173,936.95 nat. median
$76,852
outlier · 2.3×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 $154,703.64 $162,438.82 $160,891.79 nat. median
$107,657
1.5× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 $148,813.65 $156,254.33 $154,766.20 nat. median
$118,589
1.3× median
64
APR_DRG 		Pancreas Transplant 4 $140,182.78 $147,191.92 $145,790.09 nat. median
$91,239
1.6× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $138,910.48 $145,856.00 $144,466.90 nat. median
$108,798
1.3× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $133,673.56 $140,357.24 $139,020.51 nat. median
$101,541
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $131,938.43 $138,535.35 $137,215.96 nat. median
$98,624
1.4× median

Other procedures at this hospital

Browse this hospital's 70,995 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,639,685.99 $4,639,685.99 $4,639,685.99 2025-11-10
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 7 — — $3,932,206.74 $4,412,809.79 $4,369,118.60 2025-11-10
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,905,992.03 $4,383,391.06 $4,339,991.15 2025-11-10
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,523,693.81 $3,954,367.50 $3,915,215.34 2025-11-10
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 7 — — $3,456,690.60 $3,879,175.00 $3,840,767.33 2025-11-10
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $3,127,415.10 $3,509,654.72 $3,474,905.66 2025-11-10
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,598,982.61 $2,916,636.04 $2,887,758.46 2025-11-10
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,471,672.81 $2,773,766.15 $2,746,303.12 2025-11-10
Q2057 HCPCS Afamitresgene Autoleucel 8 7 — — $816,775.51 $916,603.63 $907,528.35 2025-11-10
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $529,192.86 $687,880.42 $681,069.72 2025-11-10
Q2056 HCPCS Ciltacabtagene Car-pos T 11 7 — — $527,123.43 $658,209.03 $651,692.11 2025-11-10
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $516,726.08 $644,241.28 $637,862.65 2025-11-10
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $526,587.59 $643,794.99 $637,420.78 2025-11-10
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $489,455.96 $634,060.68 $627,782.85 2025-11-10
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $460,530.40 $582,490.89 $576,723.66 2025-11-10
5834 APR_DRG Neonate W Ecmo 4 4 — — $420,600.47 $441,630.49 $437,424.48 2025-11-10
5833 APR_DRG Neonate W Ecmo 4 4 — — $366,288.87 $384,603.31 $380,940.42 2025-11-10
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 13 — — $297,064.84 $561,122.47 $330,072.04 2025-11-10
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $313,713.72 $329,399.41 $326,262.27 2025-11-10
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $286,568.84 $321,593.92 $318,409.82 2025-11-10
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $289,356.32 $303,824.14 $300,930.58 2025-11-10
24 APR_DRG Heart &/or Lung Transplant 4 4 — — $280,323.16 $294,339.32 $291,536.08 2025-11-10
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 14 — — $221,966.15 $539,786.01 $264,375.11 2025-11-10
5832 APR_DRG Neonate W Ecmo 4 4 — — $229,855.09 $241,347.84 $239,049.29 2025-11-10
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $219,264.93 $230,228.18 $228,035.53 2025-11-10
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $217,751.51 $228,639.09 $226,461.58 2025-11-10
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 14 — — $186,987.75 $359,267.68 $222,680.89 2025-11-10
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $213,230.73 $223,892.27 $221,759.96 2025-11-10
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $207,820.52 $218,211.55 $216,133.35 2025-11-10
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $206,231.98 $216,543.58 $214,481.26 2025-11-10
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $204,174.52 $214,383.25 $212,341.51 2025-11-10
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $201,207.10 $211,267.46 $209,255.39 2025-11-10
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $200,580.65 $210,609.68 $208,603.88 2025-11-10
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $198,286.91 $208,201.26 $206,218.39 2025-11-10
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $195,856.31 $205,649.13 $203,690.57 2025-11-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 14 — — $168,959.98 $373,833.27 $201,191.78 2025-11-10
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $186,775.86 $196,114.65 $194,246.90 2025-11-10
5831 APR_DRG Neonate W Ecmo 4 4 — — $186,139.74 $195,446.73 $193,585.33 2025-11-10
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $183,321.36 $192,487.43 $190,654.21 2025-11-10
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $181,482.04 $190,556.14 $188,741.32 2025-11-10
23 APR_DRG Heart &/or Lung Transplant 4 4 — — $177,417.99 $186,288.89 $184,514.71 2025-11-10
14 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $175,939.74 $184,736.73 $182,977.33 2025-11-10
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $175,837.93 $184,629.83 $182,871.45 2025-11-10
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $167,247.07 $175,609.42 $173,936.95 2025-11-10
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $154,703.64 $162,438.82 $160,891.79 2025-11-10
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $148,813.65 $156,254.33 $154,766.20 2025-11-10
64 APR_DRG Pancreas Transplant 4 4 — — $140,182.78 $147,191.92 $145,790.09 2025-11-10
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $138,910.48 $145,856.00 $144,466.90 2025-11-10
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $133,673.56 $140,357.24 $139,020.51 2025-11-10
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $131,938.43 $138,535.35 $137,215.96 2025-11-10
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $130,266.29 $136,779.60 $135,476.94 2025-11-10
22 APR_DRG Heart &/or Lung Transplant 4 4 — — $127,692.68 $134,077.31 $132,800.39 2025-11-10
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $125,233.41 $152,940.84 $132,712.84 2025-11-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 14 — — $111,509.03 $234,727.29 $132,710.28 2025-11-10
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $125,870.31 $132,163.83 $130,905.12 2025-11-10
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $121,164.12 $127,222.33 $126,010.68 2025-11-10
14 MS_DRG Allogeneic Bone Marrow Transplant 24 14 — — $103,418.87 $246,796.35 $123,066.82 2025-11-10
7 MS_DRG Lung Transplant 24 14 — — $103,159.22 $207,700.23 $122,757.30 2025-11-10
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $117,004.35 $122,854.57 $121,684.52 2025-11-10
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $115,681.24 $121,465.30 $120,308.49 2025-11-10
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $115,506.69 $121,282.02 $120,126.96 2025-11-10
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $114,607.66 $120,338.04 $119,191.96 2025-11-10
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $113,435.92 $119,107.72 $117,973.36 2025-11-10
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $112,831.33 $118,472.90 $117,344.58 2025-11-10
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $112,418.12 $118,039.03 $116,914.85 2025-11-10
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $110,128.26 $134,493.74 $116,705.57 2025-11-10
63 APR_DRG Pancreas Transplant 4 4 — — $110,981.08 $116,530.13 $115,420.32 2025-11-10
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $108,006.37 $113,406.69 $112,326.62 2025-11-10
J3399N/A OTHER Inj Onase Abepar-xioi Treat 1 1 — — $110,758.00 $110,758.00 $110,758.00 2025-11-10
4404 APR_DRG Kidney Transplant 4 4 — — $106,354.84 $111,672.58 $110,609.04 2025-11-10
21 APR_DRG Heart &/or Lung Transplant 4 4 — — $104,975.95 $110,224.75 $109,174.99 2025-11-10
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $104,030.82 $109,232.36 $108,192.05 2025-11-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $99,711.87 $121,772.76 $105,667.06 2025-11-10
13 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $100,108.59 $105,114.02 $104,112.93 2025-11-10
8514 APR_DRG Gender Related Procedures 4 4 — — $99,865.02 $104,858.27 $103,859.62 2025-11-10
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 14 — — $87,036.35 $323,387.15 $103,538.85 2025-11-10
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 14 — — $84,122.73 $221,421.63 $100,065.82 2025-11-10
215 MS_DRG Other Heart Assist System Implant 24 14 — — $83,693.12 $273,327.07 $99,553.73 2025-11-10
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $95,464.20 $100,237.41 $99,282.77 2025-11-10
8634 APR_DRG Neonatal Aftercare 4 4 — — $92,146.56 $96,753.89 $95,832.43 2025-11-10
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 21 13 — — $86,046.52 $162,532.31 $95,607.24 2025-11-10
1784 APR_DRG External Heart Assist Systems 4 4 — — $91,726.13 $96,312.44 $95,395.18 2025-11-10
62 APR_DRG Pancreas Transplant 4 4 — — $91,162.68 $95,720.81 $94,809.18 2025-11-10
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $89,131.91 $93,588.51 $92,697.19 2025-11-10
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $88,424.25 $92,845.46 $91,961.22 2025-11-10
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $88,260.70 $92,673.74 $91,791.13 2025-11-10
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $88,092.25 $92,496.86 $91,615.94 2025-11-10
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $87,737.20 $92,124.06 $91,246.69 2025-11-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $76,267.84 $201,496.02 $90,702.79 2025-11-10
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $87,212.57 $91,573.20 $90,701.07 2025-11-10
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $87,051.40 $91,403.97 $90,533.46 2025-11-10
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $84,912.78 $103,699.42 $89,984.10 2025-11-10
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $86,486.76 $90,811.10 $89,946.23 2025-11-10
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $84,580.79 $88,809.83 $87,964.02 2025-11-10
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $84,332.38 $88,549.00 $87,705.68 2025-11-10
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $83,576.30 $87,755.12 $86,919.35 2025-11-10
12 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $83,522.98 $87,699.13 $86,863.90 2025-11-10
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $83,244.30 $87,406.52 $86,574.08 2025-11-10
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $82,003.53 $86,103.71 $85,283.68 2025-11-10
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $81,944.11 $86,041.32 $85,221.88 2025-11-10
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $80,154.69 $97,888.62 $84,941.85 2025-11-10
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $79,015.51 $82,966.29 $82,176.13 2025-11-10
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $78,884.62 $82,828.85 $82,040.01 2025-11-10
1794 APR_DRG Defibrillator Implants 4 4 — — $78,581.70 $82,510.79 $81,724.97 2025-11-10
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $78,464.18 $82,387.39 $81,602.75 2025-11-10
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $78,356.34 $82,274.16 $81,490.60 2025-11-10
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $77,837.74 $81,729.63 $80,951.25 2025-11-10
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $76,794.43 $80,634.15 $79,866.20 2025-11-10
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 14 — — $67,005.31 $172,070.00 $79,661.86 2025-11-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — $5,500.00 $66,968.33 $195,234.53 $79,617.78 2025-11-10
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $76,421.23 $80,242.29 $79,478.08 2025-11-10
914 APR_DRG Other Major Head & Neck Procedures 4 4 — — $75,912.36 $79,707.98 $78,948.85 2025-11-10
61 APR_DRG Pancreas Transplant 4 4 — — $75,729.40 $79,515.87 $78,758.57 2025-11-10
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $73,958.41 $90,321.44 $78,375.50 2025-11-10
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $74,701.86 $78,436.95 $77,689.93 2025-11-10
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $74,642.51 $78,374.64 $77,628.21 2025-11-10
11 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $74,443.79 $78,165.98 $77,421.54 2025-11-10
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 4 — — $73,289.07 $76,953.52 $76,220.63 2025-11-10
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 14 — — $63,757.29 $212,090.91 $75,790.22 2025-11-10
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 7 — — $63,354.77 $76,025.72 $74,700.21 2025-11-10
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $71,481.20 $75,055.26 $74,340.45 2025-11-10
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 24 14 — — $61,831.93 $155,765.10 $73,495.19 2025-11-10
1783 APR_DRG External Heart Assist Systems 4 4 — — $70,285.28 $73,799.54 $73,096.69 2025-11-10
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $70,007.79 $73,508.18 $72,808.10 2025-11-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $61,211.12 $161,362.68 $72,755.18 2025-11-10
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 4 — — $69,924.20 $73,420.41 $72,721.17 2025-11-10
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $69,769.06 $73,257.51 $72,559.82 2025-11-10
10 MS_DRG Pancreas Transplant 24 14 — — $63,064.10 $119,121.07 $71,996.58 2025-11-10
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $68,528.29 $71,954.70 $71,269.42 2025-11-10
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $68,315.06 $71,730.81 $71,047.66 2025-11-10
214 APR_DRG Craniotomy Except For Trauma 4 4 — — $68,299.29 $71,714.25 $71,031.26 2025-11-10
234 APR_DRG Spinal Procedures 4 4 — — $67,929.73 $71,326.22 $70,646.92 2025-11-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 14 — — $59,060.72 $154,910.30 $70,191.92 2025-11-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $65,801.52 $80,359.86 $69,731.45 2025-11-10
1204 APR_DRG Major Respiratory & Chest Procedures 4 4 — — $66,993.08 $70,342.73 $69,672.80 2025-11-10
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 13 — — $62,704.51 $118,441.86 $69,671.68 2025-11-10
38240 HCPCS Transplt Allo Hct/donor 9 8 — — $62,684.60 $181,137.03 $69,649.56 2025-11-10
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $65,399.83 $79,869.30 $69,305.76 2025-11-10
4403 APR_DRG Kidney Transplant 4 4 — — $66,458.77 $69,781.71 $69,117.12 2025-11-10
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $65,808.08 $69,098.48 $68,440.40 2025-11-10
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 4 4 — — $65,787.48 $69,076.85 $68,418.98 2025-11-10
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $65,780.19 $69,069.20 $68,411.40 2025-11-10
6904 APR_DRG Acute Leukemia 4 4 — — $65,306.43 $68,571.75 $67,918.68 2025-11-10
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $65,294.31 $68,559.03 $67,906.08 2025-11-10
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $64,627.86 $67,859.25 $67,212.98 2025-11-10
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 4 4 — — $64,487.36 $67,711.73 $67,066.85 2025-11-10
894 APR_DRG Major Cranial/facial Bone Procedures 4 4 — — $64,404.95 $67,625.20 $66,981.15 2025-11-10
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $64,206.23 $67,416.54 $66,774.48 2025-11-10
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $64,163.84 $67,372.03 $66,730.39 2025-11-10
204 APR_DRG Craniotomy For Trauma 4 4 — — $64,154.10 $67,361.81 $66,720.26 2025-11-10
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $63,463.46 $66,636.63 $66,001.99 2025-11-10
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4 4 — — $63,362.91 $66,531.06 $65,897.43 2025-11-10
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 8 $0.01 — $56,198.63 $66,544.18 $65,885.33 2025-11-10
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $63,332.57 $66,499.20 $65,865.88 2025-11-10
4414 APR_DRG Major Bladder Procedures 4 4 — — $63,178.69 $66,337.62 $65,705.83 2025-11-10
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $63,177.50 $66,336.38 $65,704.61 2025-11-10
A9543N/A OTHER Y90 Ibritumomab, Rx 1 1 — — $65,477.00 $65,477.00 $65,477.00 2025-11-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 14 — — $55,066.00 $129,166.51 $65,430.21 2025-11-10
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $62,886.70 $66,031.04 $65,402.17 2025-11-10
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $61,569.45 $75,191.46 $65,246.62 2025-11-10
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 4 — — $62,484.41 $65,608.63 $64,983.79 2025-11-10
1782 APR_DRG External Heart Assist Systems 4 4 — — $62,382.60 $65,501.73 $64,877.90 2025-11-10
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $62,319.61 $65,435.59 $64,812.39 2025-11-10
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $61,768.28 $64,856.69 $64,239.01 2025-11-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 14 — — $54,057.29 $127,906.57 $64,227.82 2025-11-10
274 APR_DRG Other Open Craniotomy 4 4 — — $60,551.75 $63,579.34 $62,973.82 2025-11-10
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 14 — — $52,881.77 $120,974.82 $62,826.61 2025-11-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 14 — — $52,792.86 $138,439.95 $62,720.62 2025-11-10
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 4 — — $59,863.50 $62,856.68 $62,258.04 2025-11-10
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 13 — — $55,935.44 $105,655.83 $62,150.49 2025-11-10
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $59,708.43 $62,693.85 $62,096.76 2025-11-10
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $59,404.32 $62,374.54 $61,780.49 2025-11-10
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $59,125.57 $62,081.85 $61,490.60 2025-11-10
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $58,869.95 $61,813.45 $61,224.75 2025-11-10
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 4 4 — — $58,752.37 $61,689.99 $61,102.46 2025-11-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 14 — — $51,216.06 $116,331.73 $60,841.08 2025-11-10
4402 APR_DRG Kidney Transplant 4 4 — — $58,431.30 $61,352.87 $60,768.56 2025-11-10
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $51,142.88 $133,266.59 $60,753.85 2025-11-10
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 4 4 — — $58,256.82 $61,169.66 $60,587.09 2025-11-10
4014 APR_DRG Pituitary & Adrenal Procedures 4 4 — — $58,062.93 $60,966.08 $60,385.45 2025-11-10
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 14 — — $50,091.68 $115,472.68 $59,500.82 2025-11-10
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 4 4 — — $57,145.68 $60,002.96 $59,431.51 2025-11-10
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $57,096.00 $59,950.80 $59,379.84 2025-11-10
1781 APR_DRG External Heart Assist Systems 4 4 — — $57,030.62 $59,882.15 $59,311.85 2025-11-10
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $56,859.72 $59,702.71 $59,134.11 2025-11-10
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $56,354.49 $59,172.21 $58,608.67 2025-11-10
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $56,171.53 $58,980.11 $58,418.40 2025-11-10
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $55,886.76 $58,681.10 $58,122.23 2025-11-10
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $48,784.76 $92,148.99 $57,942.97 2025-11-10
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 14 — — $48,615.59 $103,774.82 $57,741.32 2025-11-10
3210-63113 CDM Battery Ipg 36 17 $85,525.00 — $13,658.34 $81,171.78 $57,729.38 2025-11-10
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $55,354.84 $58,122.58 $57,569.04 2025-11-10
0616T OTHER Insertion Of Iris Prosthesis 1 1 — — $57,508.87 $57,508.87 $57,508.87 2025-11-10
0617T OTHER Insj Iris Prosth W/rmvl&insj 1 1 — — $57,508.87 $57,508.87 $57,508.87 2025-11-10
0618T OTHER Insj Iris Prosth Sec Io Lens 1 1 — — $57,508.87 $57,508.87 $57,508.87 2025-11-10
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 14 — — $48,395.28 $123,880.72 $57,478.71 2025-11-10
28 MS_DRG Spinal Procedures With Mcc 24 14 — $5,500.00 $48,165.53 $117,903.46 $57,204.85 2025-11-10
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 4 4 — — $55,002.24 $57,752.35 $57,202.33 2025-11-10
1793 APR_DRG Defibrillator Implants 4 4 — — $54,845.91 $57,588.21 $57,039.75 2025-11-10
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 4 4 — — $54,790.20 $57,529.71 $56,981.81 2025-11-10
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $54,774.43 $57,513.15 $56,965.40 2025-11-10
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 4 4 — — $54,619.30 $57,350.27 $56,804.07 2025-11-10
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 14 — — $47,822.47 $136,685.81 $56,795.93 2025-11-10
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 14 — — $47,822.47 $96,043.41 $56,795.93 2025-11-10
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $54,361.22 $57,079.28 $56,535.67 2025-11-10
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 24 14 — — $47,467.61 $164,438.28 $56,372.93 2025-11-10
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $54,161.30 $56,869.37 $56,327.76 2025-11-10
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $47,141.08 $120,563.32 $55,983.71 2025-11-10
1214 APR_DRG Other Respiratory & Chest Procedures 4 4 — — $53,696.02 $56,380.82 $55,843.86 2025-11-10
2324 APR_DRG Gastric Fundoplication 4 4 — — $53,410.06 $56,080.56 $55,546.46 2025-11-10
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $53,394.29 $56,064.00 $55,530.06 2025-11-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 14 — — $46,628.86 $122,569.88 $55,373.14 2025-11-10
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $53,038.05 $55,689.95 $55,159.57 2025-11-10
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $52,930.20 $55,576.71 $55,047.41 2025-11-10
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $52,792.09 $55,431.69 $54,903.77 2025-11-10
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $52,788.45 $55,427.87 $54,899.99 2025-11-10
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 14 — — $46,141.81 $114,912.71 $54,792.58 2025-11-10
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $52,639.40 $55,271.37 $54,744.98 2025-11-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc 21 13 — — $49,069.59 $92,687.01 $54,521.77 2025-11-10
4401 APR_DRG Kidney Transplant 4 4 — — $52,392.26 $55,011.87 $54,487.95 2025-11-10
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $52,341.38 $54,958.45 $54,435.04 2025-11-10
A9543 HCPCS Yttrium 90 Ibritumom Tiuxeta 40 20 $67,995.00 — $10,858.80 $67,589.20 $54,396.00 2025-11-10
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 4 4 — — $52,026.34 $54,627.66 $54,107.40 2025-11-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — $5,500.00 $45,489.53 $144,366.31 $54,015.06 2025-11-10
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $51,882.13 $54,476.24 $53,957.41 2025-11-10
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $51,848.22 $54,440.63 $53,922.15 2025-11-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 14 — — $45,219.65 $116,552.32 $53,693.36 2025-11-10
J9226 HCPCS Supprelin La Implant 12 8 — — $45,350.22 $54,420.26 $53,654.65 2025-11-10
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 4 — — $51,544.03 $54,121.23 $53,605.79 2025-11-10
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $51,285.96 $53,850.26 $53,337.40 2025-11-10
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4 4 — — $50,996.35 $53,546.17 $53,036.21 2025-11-10
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $47,695.76 $53,525.24 $52,995.29 2025-11-10
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 4 4 — — $50,808.56 $53,348.99 $52,840.90 2025-11-10
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 4 4 — — $50,735.89 $53,272.68 $52,765.32 2025-11-10
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 4 4 — — $50,712.84 $53,248.48 $52,741.36 2025-11-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 13 — — $47,105.67 $114,796.05 $52,601.33 2025-11-10
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 4 — — $50,573.46 $53,102.13 $52,596.40 2025-11-10
653 MS_DRG Major Bladder Procedures With Mcc 24 14 — — $44,192.84 $117,296.83 $52,469.40 2025-11-10
1824 APR_DRG Other Peripheral Vascular Procedures 4 4 — — $50,357.85 $52,875.74 $52,372.16 2025-11-10
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 4 4 — — $50,149.39 $52,656.86 $52,155.37 2025-11-10
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $50,148.19 $52,655.60 $52,154.12 2025-11-10
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 24 14 — — $43,820.67 $116,531.11 $52,025.78 2025-11-10
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 14 — — $43,820.67 $159,852.46 $52,025.78 2025-11-10
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $49,903.43 $52,398.60 $51,899.57 2025-11-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $48,818.24 $59,619.10 $51,733.86 2025-11-10
4034 APR_DRG Procedures For Obesity 4 4 — — $49,678.08 $52,161.98 $51,665.20 2025-11-10
264 APR_DRG Other Nervous System & Related Procedures 4 4 — — $49,547.18 $52,024.54 $51,529.07 2025-11-10
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $49,382.38 $51,851.50 $51,357.68 2025-11-10
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $49,255.19 $51,717.95 $51,225.40 2025-11-10
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 14 — — $43,142.43 $107,370.08 $51,217.32 2025-11-10
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $49,141.26 $51,598.32 $51,106.91 2025-11-10
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 14 — — $43,044.86 $112,151.04 $51,101.01 2025-11-10
8633 APR_DRG Neonatal Aftercare 4 4 — — $49,074.62 $51,528.35 $51,037.60 2025-11-10
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $48,923.19 $51,369.35 $50,880.12 2025-11-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 14 — — $42,826.91 $106,417.71 $50,841.21 2025-11-10
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 14 — — $42,786.77 $104,339.03 $50,793.38 2025-11-10
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $42,782.06 $96,147.34 $50,787.76 2025-11-10
6504 APR_DRG Splenectomy 4 4 — — $48,778.98 $51,217.93 $50,730.14 2025-11-10
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 4 4 — — $48,606.95 $51,037.30 $50,551.23 2025-11-10
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $48,581.45 $51,010.52 $50,524.71 2025-11-10
C2624 HCPCS Cardio Mems Pa Sensor And De 38 18 $120,000.00 — $1,000.00 $111,264.00 $50,400.00 2025-11-10
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 4 4 — — $48,405.78 $50,826.07 $50,342.01 2025-11-10
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 24 14 — — $42,191.15 $107,255.54 $50,083.40 2025-11-10
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $48,064.10 $50,467.31 $49,986.66 2025-11-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $42,006.25 $109,030.90 $49,862.99 2025-11-10
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 4 — — $47,797.55 $50,187.43 $49,709.46 2025-11-10
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $47,773.30 $50,161.97 $49,684.24 2025-11-10
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $46,770.35 $57,118.12 $49,563.66 2025-11-10
244 APR_DRG Extracranial Vascular Procedures 4 4 — — $47,518.80 $49,894.74 $49,419.55 2025-11-10
3094 APR_DRG Other Significant Hip & Femur Surgery 4 4 — — $47,499.46 $49,874.43 $49,399.43 2025-11-10
913 APR_DRG Other Major Head & Neck Procedures 4 4 — — $47,346.77 $49,714.11 $49,240.64 2025-11-10
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $47,230.45 $49,591.97 $49,119.67 2025-11-10
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $47,200.18 $49,560.19 $49,088.19 2025-11-10
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $47,158.98 $49,516.93 $49,045.34 2025-11-10
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 4 4 — — $47,125.00 $49,481.25 $49,010.00 2025-11-10
2294 APR_DRG Other Digestive System & Abdominal Procedures 4 4 — — $46,956.61 $49,304.44 $48,834.88 2025-11-10
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $46,940.85 $49,287.89 $48,818.49 2025-11-10
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $46,912.96 $49,258.61 $48,789.48 2025-11-10
4804 APR_DRG Major Male Pelvic Procedures 4 4 — — $46,673.10 $49,006.76 $48,540.03 2025-11-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 14 — — $40,718.21 $104,805.67 $48,327.65 2025-11-10
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 4 — — $46,421.05 $48,742.10 $48,277.89 2025-11-10
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 4 4 — — $46,267.17 $48,580.53 $48,117.86 2025-11-10
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $46,195.70 $48,505.49 $48,043.53 2025-11-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 14 — — $40,416.07 $106,967.07 $47,967.50 2025-11-10
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $46,015.12 $48,315.88 $47,855.72 2025-11-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 14 — — $40,293.32 $96,463.39 $47,821.18 2025-11-10
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $45,650.40 $47,932.92 $47,476.42 2025-11-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 14 — — $39,962.07 $98,537.82 $47,426.33 2025-11-10
3104 APR_DRG Intervertebral Disc Excision & Decompression 4 4 — — $45,463.79 $47,736.98 $47,282.34 2025-11-10
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $45,461.41 $47,734.48 $47,279.87 2025-11-10
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 4 4 — — $45,400.80 $47,670.84 $47,216.83 2025-11-10
893 APR_DRG Major Cranial/facial Bone Procedures 4 4 — — $45,380.20 $47,649.21 $47,195.41 2025-11-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 14 — — $39,728.39 $120,981.18 $47,147.78 2025-11-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 14 — — $39,681.96 $108,767.89 $47,092.45 2025-11-10
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 4 4 — — $45,202.07 $47,462.17 $47,010.15 2025-11-10
1792 APR_DRG Defibrillator Implants 4 4 — — $45,145.11 $47,402.37 $46,950.92 2025-11-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 14 — — $39,540.33 $139,916.24 $46,923.62 2025-11-10
1744 APR_DRG Percutaneous Coronary Intervention W Ami 4 4 — — $45,065.15 $47,318.41 $46,867.76 2025-11-10
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $44,887.03 $47,131.38 $46,682.51 2025-11-10
1662 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $44,784.02 $47,023.22 $46,575.38 2025-11-10
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